冠心病PCI术后病人居家心脏康复偏好与需求的质性研究

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Qualitative study on preferences and needs of home⁃based cardiac rehabilitation in patients with coronary heart disease after PCI
CUI Yishuang1,2, HE Xifei1*, CHEN Yanan2, LU Lijuan1, CHENG Jie1, YANG Weimei1, ZHANG Shiyi1
1.Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei 430030 China;2.School of Nursing, Tongji Medical College, Huazhong University of Science and Technology
*Corresponding Author HE Xifei, E⁃mail: 26817600@qq.com
Abstract Objective:To explore the preferences and needs of home⁃based cardiac rehabilitation for patients with coronary heart disease after percutaneous coronary intervention,and to provide evidence for the construction and implementation of home⁃based cardiac rehabilitation.Methods:Based on the theory of patient and public involvement,objective sampling and maximum differential sampling were used to select 21 patients with coronary heart disease after percutaneous coronary intervention from November to December 2023 for personal interviews or focus group interviews.The data were analyzed by inductive content analysis.Results:Three themes were identified:the need for cognitive debugging,the need for diverse choices,and patient⁃centered preferences.Conclusions:Patient participation maked the research focus on the practical problems of patients' concern.Medical staff should pay attention to patients' preferences and needs,strengthen health education in the construction and implementation of home⁃based cardiac rehabilitation intervention,provide diversified choices and personalized programs,and promote patient⁃centered nursing.
Keywords coronary heart disease; percutaneous coronary intervention; home⁃based cardiac rehabilitation; qualitative study
摘要 目的:探索冠心病经皮冠状动脉介入治疗术后病人居家心脏康复的偏好与需求,为居家心脏康复的构建与实施提供依据。(剩余13664字)